| Entity Name: | EMILY'S HOME INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 May 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P07000063969 |
| FEI/EIN Number | 260274994 |
| Address: | 474 HASKELL AVE, S.E. PALM BAY, FL, 32909 |
| Mail Address: | 474 HASKELL AVE., SE PALM BAY, FL, 32909 |
| ZIP code: | 32909 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184967069 | 2013-03-29 | 2013-03-29 | 474 HASKELL AVE SE, PALM BAY, FL, 329094059, US | 474 HASKELL AVE SE, PALM BAY, FL, 329094059, US | |||||||||||||||||||||||
|
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| Phone | +1 321-953-3047 |
Authorized person
| Name | EILEEN J BROWN |
| Role | PRESIDENT |
| Phone | 3219533047 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 231917 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00285800-1-2 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN EILEEN | Agent | 474 HASKELL AVE, S.E. PALM BAY, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| BROWN EILEEN J | President | 474 HASKELL AVE SE, PALM BAY, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| BROWN JEFRIE G | Vice President | 474 HASKELL AVE. SE.,, PALM BAY, FL, 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-29 | 474 HASKELL AVE, S.E. PALM BAY, FL 32909 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-09-08 | BROWN, EILEEN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-09-08 | 474 HASKELL AVE, S.E. PALM BAY, FL 32909 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-03-10 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-09-15 |
| ANNUAL REPORT | 2008-09-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
